Individual provider Active NPI

Judy B. Okawa, PH.D.

  • Psychologist
  • Washington, DC
National Provider Identifier
1588711733
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY 1000274 Issued in DC
Practice address
1308 Constitution Ave NE
Washington, DC 20002-6420
Phone
(202) 544-6060
Fax
(202) 544-5177
NPI assigned
Jan 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY 1000274 DC Primary
Psychologist 103T00000X 0810002508 VA

Addresses

Primary practice location

1308 Constitution Ave NE
Washington, DC 20002-6420

Mailing address

9806 Lord CT
Fairfax, VA 22032-2803
Phone (703) 425-7273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY 1000274DCMDPsychologist
0810002508VAMDPsychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588711733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9806 LORD CT",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220322803",
            "telephone_number": "703-425-7273",
            "fax_number": "202-544-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 CONSTITUTION AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200026420",
            "telephone_number": "202-544-6060",
            "fax_number": "202-544-5177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKAWA",
        "first_name": "JUDY",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "DC",
            "license": "PSY 1000274",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810002508",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.